Medstar Surgical & Breathing Equipment, Inc.

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

MEDSTAR SURGICAL & BREATHING EQUIPMENT, INC.

Practice address

201 Christian LN
Unit C
Berlin, CT 06037-1451

Phone

(860) 570-1010

Fax

(860) 570-1013

NPI assigned

Aug 31, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Loree Anderson, MA

Title

President

Phone

(855) 914-9140

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Genox Homecare Doing business as

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Landauer Metropolitan, Inc

  • Oxygen Equipment & Supplies (DME)
  • Great Neck, NY
  • NPI 1457355026

  Member Of

  NPD member
• Med Star Surgical & Breathing Equipment, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Brooklyn, NY
  • NPI 1053337261

  Member Of

  NPD member

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405296000000",
    "number": "1962514539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 CHRISTIAN LN",
            "address_2": "UNIT C",
            "city": "BERLIN",
            "state": "CT",
            "postal_code": "060371451",
            "telephone_number": "860-570-1010",
            "fax_number": "860-570-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 CHRISTIAN LN",
            "address_2": "UNIT C",
            "city": "BERLIN",
            "state": "CT",
            "postal_code": "060371451",
            "telephone_number": "860-570-1010",
            "fax_number": "860-570-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSTAR SURGICAL & BREATHING EQUIPMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2014-07-14",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "LOREE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "855-914-9140",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004021267",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genox Homecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Maroon, D.M.D.
• Jessica Lynn Maroto
• Amanda L Marrotte, LMFT
• Stacey Ann Matan
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• Ariel Methoxha
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• Margaret Mirabella-Pimer
• Asim Mohamed, PHARM D
• John Robert Montague, DC

• Oxygen Equipment & Supplies (DME) in Berlin, CT
• Providers in Berlin, CT by specialty
• Oxygen Equipment & Supplies (DME) in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.